Effect of chronic renal insufficiency on outcomes of carotid endarterectomy

Objective Conflicting data exist regarding the effect of chronic renal insufficiency (CRI) on carotid endarterectomy (CEA) outcomes. A large database was used to analyze the effect of CRI, defined by glomerular filtration rate (GFR), as an independent risk factor of CEA. Methods Prospectively collec...

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Bibliographic Details
Published in:Journal of vascular surgery 2008-12, Vol.48 (6), p.1423-1430
Main Authors: Sidawy, Anton N., MD, MPH, Aidinian, Gilbert, MD, Johnson, Owen N., MD, White, Paul W., MD, DeZee, Kent J., MD, Henderson, William G., MPH, PhD
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Carotid Stenosis - complications
Carotid Stenosis - mortality
Carotid Stenosis - surgery
Endarterectomy, Carotid - methods
Female
Follow-Up Studies
Glomerular Filtration Rate - physiology
Humans
Male
Medical sciences
Neurology
Prospective Studies
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - mortality
Renal Insufficiency, Chronic - physiopathology
Risk Factors
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Survival Rate
Treatment Outcome
United States - epidemiology
Vascular diseases and vascular malformations of the nervous system
Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
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Summary:Objective Conflicting data exist regarding the effect of chronic renal insufficiency (CRI) on carotid endarterectomy (CEA) outcomes. A large database was used to analyze the effect of CRI, defined by glomerular filtration rate (GFR), as an independent risk factor of CEA. Methods Prospectively collected data regarding CEAs performed at 123 Veterans Affairs Medical Centers as part of the National Surgical Quality Improvement Program were retrospectively analyzed. Renal function was used to divide patients into three CRI groups: normal or mild (control; GFR ≥60 mL/min/1.73 m 2 ), moderate (GFR 30 to 59), and severe (GFR
ISSN:0741-5214
1097-6809
DOI:10.1016/j.jvs.2008.07.006